ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule involves adding 7 days to the first day of the last menstrual period, then subtracting 3 months and adding 1 year. For August 10, adding 7 days gives August 17. Subtracting 3 months gives May 17. This is the estimated date of delivery.
Choice A (May 13) is incorrect because it does not account for the full calculation process.
Choice C (May 3) is incorrect as it is too early based on the calculation.
Choice D (May 20) is incorrect as it is too late based on the calculation.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation.
Diagnostic Results:
• Proteinuria 3+, straw-colored urine
• Platelet count 150,000/mm3 (150,000 to 400,000/mm3)
• BUN 18 mg/dL (10 to 20 mg/dL)
Question 2 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
| Findings 24 hr later | Sign of potential worsening condition | Sign of potential improvement | Unrelated to diagnosis |
|---|---|---|---|
| Hematuria | |||
| Proteinuria 2+ | |||
| Leukorrhea | |||
| Positive clonus | |||
| BUN 40 mg/dL | |||
| Platelet count 110,000/mm3 |
Correct Answer:
Rationale:
Correct Answer:
Rationale: The nurse should interpret Proteinuria 2+ as a sign of a potential worsening condition due to kidney damage. Hematuria could indicate a urinary tract issue but is less specific than proteinuria for this client. Leukorrhea is unrelated to the diagnosis. Positive clonus is typically associated with neurological issues, not related to kidney function. BUN and platelet count are not provided in the table, so they should not be considered in the interpretation.
Extract:
Question 3 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. Nuchal cord occurs when the umbilical cord is wrapped around the baby's neck during delivery. This can cause pressure on the baby's face, leading to small red or purple spots called petechiae. The rationale is that the pressure from the nuchal cord can result in capillary rupture, manifesting as petechiae on the baby's face. Telangiectatic nevi (
A), periauricular papillomas (
C), and erythema toxicum (
D) are unrelated to nuchal cord and would not be expected findings in this scenario.
Question 4 of 5
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Anticipate a prescription for misoprostol.
Rationale: Misoprostol is a prostaglandin E1 analog that helps to contract the uterus and control bleeding in cases of uterine atony postpartum. Administering misoprostol can help to improve uterine tone and reduce excessive bleeding.
Incorrect
Choices:
A: Administering betamethasone is used to promote fetal lung maturity in preterm labor, not for managing postpartum hemorrhage.
B: Sterile vaginal examinations should be performed to assess the cause of bleeding, avoiding them can delay appropriate interventions.
D: Obtaining a Kleihauer-Betke test is used to determine the amount of fetal-maternal hemorrhage, but it is not a priority action in managing uterine atony and bleeding.
Question 5 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: The correct answer is D: Third-degree perineal laceration. Using a suppository in a client with a third-degree perineal laceration can increase the risk of infection and delay healing. This type of laceration extends through the perineal muscles, making it important to avoid any unnecessary trauma or irritation to the area. Vaginal candidiasis (choice
A), abdominal distention (choice
B), and afterpains (choice
C) are not contraindications to using a suppository for constipation in this scenario. Vaginal candidiasis and abdominal distention do not directly impact the use of a suppository, and afterpains, while uncomfortable, do not pose a risk with suppository use.